Eric Granquist, DMD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Philadelphia, Pennsylvania. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice University Of Penn-medical Group and his current practice location is
3400 Spruce St, 5th Floor White Bld, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 662-3580.
Eric Granquist is licensed to practice in Pennsylvania (license number MD439011) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1922291335.
Healthcare Provider's Profile
Full Name | Eric Granquist |
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Gender | Male |
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Speciality | Maxillofacial Surgery |
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Experience | 17 Years |
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Location | 3400 Spruce St, Philadelphia, Pennsylvania |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Eric Granquist graduated from medical school in 2007
NPI Data:
- NPI Number: 1922291335
- Provider Enumeration Date: 08/20/2007
- Last Update Date: 07/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 8123143419
- Enrollment ID: I20100909000840
Medical Identifiers
Medical identifiers for Eric Granquist such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922291335 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS036793 (Pennsylvania) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | DS036793 (Pennsylvania) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | MD439011 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
University Of Penn-medical Group | 6204730955 | 3051 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Eric Granquist allows following entities to bill medicare on his behalf.
Entity Name | Children's Surgical Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326117185 PECOS PAC ID: 9739083494 Enrollment ID: O20040209000124 |
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Entity Name | University Of Penn-medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eric Granquist is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Eric Granquist, DMD 3400 Spruce St, 5th Floor White Bld, Philadelphia, PA 19104-4206 Ph: (215) 662-3580 | Eric Granquist, DMD 3400 Spruce St, 5th Floor White Bld, Philadelphia, PA 19104-4206 Ph: (215) 662-3580 |
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